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Warm weather brings about new growth of beautiful flowers, healthy fruits and vegetables, as well as weeds…including the poisonous ones (those tend to be the heartiest). Poison Ivy, Poison Oak, and Poison Sumac are not only vigorous weeds but for most people, they can cause an allergic reaction. With families, especially children, being outside playing in the yard, or going to camps, the chance that someone could come across one of these weeds is highly likely.  So it’s good to know what to look for if you think that you or your child have been exposed to a poisonous weed.

Exposure to poisonous leaves such as poison ivy, poison oak, and poison sumac can cause an inflammation and irritation of the skin (atopic dermatitis). Even minute amounts of exposure can lead to a skin rash. (3) This is one of the most common allergic diseases in the United States, with more than 25 million Americans needing treatment after exposure. (2, 4) People at the highest risk for a skin rash from poisonous leaves are landscapers, gardeners, farmers, and firefighters.

What causes a skin rash from poisonous leaves?

Skin rashes are caused by a reaction to urushiol, an oil in the leaves of certain plants. (5) There are two forms of dermatitis; irritant and allergic. An irritant causes a discomfort, mild itching and/or skin inflammation. The symptoms are mild. Allergic contact dermatitis is a delayed hypersensitivity reaction to a foreign substance (urushiol). (6)

What triggers a skin rash from a poisonous leaf?

The triggers for a skin reaction from poison ivy, poison oak, and poison sumac are simple. Simply brushing against the plant can trigger a reaction for most. Some people choose to burn the plants when they get out of control. Inhaling the smoke can also cause a reaction.Poison ivy

What are the symptoms of a skin rash from poison ivy, poison oak, or poison sumac?

Symptoms of atopic dermatitis include:

  •          Pustules
  •          Red Bumps
  •          Rash
  •          Fluid-filled blister
  •          Itching
  •          Red skin
  •          Anaphylaxis/shock (This is a Life-Threatening Emergency!)
    •          Itchy skin, shortness of breath, throat swelling, tongue swelling, vomiting, low blood pressure

How is poison ivy, poison oak, or poison sumac diagnosed?

Diagnosis is made by assessing the physical symptoms. But usually the causative agent is known. If you are unsure if the rash is caused by a certain plant, using extreme caution, obtain a picture or sample of the leaf to your doctor.

How is poison ivy, poison oak, or poison sumac treated?

For most exposures (non-life-threatening situations) treatment begins with soap and water immediately after exposure. Cortisone and steroid creams or oral treatments are also typical. Systemic steroids are routinely used if a large portion of the body is affected. Antihistamines are also used to decrease the systemic reactions. Cool compresses, calamine lotion, colloidal oatmeal baths are used to dry and soothe the skin. (6)

What is the prognosis for people with poison ivy, poison oak, or poison sumac?

Itching and rashes last about one to two weeks.

How can poison ivy, poison oak, or poison sumac be prevented?

Know what the poison ivy, poison oak, and poison sumac look like and be aware of your surroundings whenever you are near plants. Often times, these plants can blend in with other plants along the ground or be mistaken for ivy growing up trees. The general rule of thumb that I was taught as a child…’leaves of 3, let them be’!

References:
1. http://go.galegroup.com/ps/anonymous?id=GALE%7CA473692144&sid=googleScholar&v=2.1&it=r&linkaccess=fulltext&issn=00943509&p=AONE&sw=w&authCount=1&isAnonymousEntry=true
2. https://www.uptodate.com/contents/poison-ivy-toxicodendron-dermatitis
3.  http://europepmc.org/abstract/med/12358214
4. https://www.cidjournal.com/article/0738-081X(86)90080-5/fulltext
5. https://www.tandfonline.com/doi/abs/10.3810/pgm.1999.07.614?journalCode=ipgm20
6. https://pdfs.semanticscholar.org/8346/e056a3c26a9ebcc54124b417797493142e91.pdf

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